JACK W. ANDERSON (NPI# 1811964000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811964000 |
| Entity Type | Individual |
| Full Name | JACK W. ANDERSON |
| Credential | MD |
| Practice Address |
470 Taylor Rd Montgomery AL 36117-3563 |
| Mailing Address |
2151 Old Rocky Ridge Road Suite 106 Birmingham AL 35216-7251 |
| Practice Telephone | 3342264048 |
| Practice Fax Number | 3343235675 |
| Mailing Telephone | 2059891080 |
| Mailing Fax Number | 2059891087 |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2019-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | MD.16671 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 214426 | 05 | |
| AL | MEDICARE RR | 050071018 | 01 |
| AL | BCBS | 510-45874 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982254603 | Jack Anderson | Technician | 14810 La Mesa Rd, Victorville, CA 92392-8639 | 2019-09-14 |
| 1154523470 | Jack Anderson | Chiropractor | 226 E 29th St Unit B, Loveland, CO 80538-2825 | 2007-05-31 |
| 1659338887 | Jack Anderson | Emergency Medicine | 9787 N 91st St Ste 101, Scottsdale, AZ 85258-5088 | 2006-05-01 |
| 1881166775 | Jack Raymond Anderson | Surgery | 1730 W 25th St, Cleveland, OH 44113-3108 | 2018-12-18 |
| 1245527969 | Jack D Anderson | Family Medicine | 1515 Edmonton Rd, Tompkinsville, KY 42167-9402 | 2011-07-01 |
| 1134330947 | Jack Glenn Anderson | Psychologist | 200 E Del Mar Blvd, Suite 122, Pasadena, CA 91105-2544 | 2007-05-24 |
| 1609948223 | Jack Martin Anderson | Pediatrics | 3003 Health Center Dr, San Diego, CA 92123-2700 | 2006-11-15 |
| 1417976234 | Jack D Anderson | Pediatrics | 7030 Pineville Matthews Rd, Charlotte, NC 28226-8298 | 2006-07-19 |
| 1992737522 | Jack Anderson | Internal Medicine | 2500 E Capitol Dr, Appleton, WI 54911-8735 | 2006-07-06 |
| Street Address |
470 TAYLOR RD |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36117-3563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457357311 | Cheryl G Fekete | Pediatrics | 470 Taylor Rd, Suite 210, Montgomery, AL 36117-3563 | 2005-06-24 |
| 1770027146 | Wesley J. Jones | Nurse Anesthetist, Certified Registered | 470 Taylor Rd, Montgomery, AL 36117-3563 | 2016-12-05 |
| 1841655172 | Montgomery Surgery Specialists | Clinic/Center | 470 Taylor Rd, Suite 202, Montgomery, AL 36117-3563 | 2015-12-31 |
| 1700256351 | Katie Sanderson Carter | Nurse Practitioner | 470 Taylor Rd, Suite 300, Montgomery, AL 36117-3563 | 2015-09-25 |
| 1700291879 | Preet Kiran | Family Medicine | 470 Taylor Rd, Suite 310, Montgomery, AL 36117-3563 | 2014-06-26 |
| 1467866624 | Pain Treatment Centers of Alabama, PC | Pain Medicine | 470 Taylor Rd, Suite 201, Montgomery, AL 36117-3563 | 2014-06-16 |
| 1952712374 | Lisa Ann Goodman | Registered Nurse | 470 Taylor Rd, Suite 202, Montgomery, AL 36117-3563 | 2014-05-20 |
| 1811232887 | Zahra Daftarian | Nurse Practitioner | 470 Taylor Rd, Suite 310, Montgomery, AL 36117-3563 | 2012-12-03 |
| 1013287648 | The Health Care Authority for Baptist Health, An Affiliate of Uabhs | Urology | 470 Taylor Rd, Suite 202, Montgomery, AL 36117-3563 | 2012-01-12 |
| 1679864870 | Vernishia Hill-graham | Family Medicine | 470 Taylor Rd, Suite 310, Montgomery, AL 36117-3563 | 2011-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061307 | Bhg Lxxiii, LLC | Clinic/Center | 1714 Platt Place, Montgomery, AL 36117 | 2020-10-22 |
| 1952945602 | East Montgomery Pediatrics LLC | Pediatrics | 337 St Lukes Drive, Montgomery, AL 36117 | 2019-11-05 |
| 1417421496 | Tiffany Webb | Specialist | 411 Twain Curve, E, Montgomey, AL 36117 | 2019-01-14 |
| 1013485374 | Montgomery Orthodontic Specialists | Dentist | 5833 Carmichael Road, Montgomery, AL 36117 | 2018-11-05 |
| 1770050791 | Blair Henderson Parks | Speech-Language Pathologist | 7088 University Court, Montgomery, AL 36117 | 2018-10-29 |
| 1629557822 | Evelyn F Crayton | Dietitian, Registered | 124 Elm Dr, Montgomery, AL 36117 | 2018-08-08 |
| 1194203414 | Coopers Mental Healh Consultations | Psychologist | 8743 Ridgestone Ct, Montgomery, AL 36117 | 2018-07-30 |
| 1063912301 | Gardenia Cove Mental Health PC | Psychiatry & Neurology | 6771 Taylor Circle, Montgomery, AL 36117 | 2018-02-13 |
| 1760900294 | Montgomery Auburn Homecare LLC | In Home Supportive Care | 2569 Bell Rd, Montgomery, AL 36117 | 2017-09-05 |
| 1336667120 | Alyssa Bryanna Swisher | Chiropractor | 2026 Berryhill Road, Montgomery, AL 36117 | 2017-09-01 |
| Find all providers in zip 36117 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851711931 | Brandon H Mitchell | Anesthesiology | 1725 Pine Street, Montgomery, AL 36106-1103 | 2014-04-16 |
| 1508164112 | James Arthur Strohmeyer | Anesthesiology | 32 Presidio Rd, Montgomery, TX 77356-5323 | 2011-03-06 |
| 1861649972 | Anthony Fabro Garcia | Anesthesiology | 17884 Mail Route Rd, Montgomery, TX 77316-2745 | 2008-08-20 |
| 1871657411 | Robert Drummond Thornton II | Anesthesiology | 3606 Everest Ct, Montgomery, AL 36106-3342 | 2006-12-20 |
| 1760910152 | Newton Anesthesia Services LLC | Anesthesiology | 2055 E South Blvd Ste 908, Montgomery, AL 36116-2007 | 2017-05-30 |
| 1699160564 | Robert Annibale | Anesthesiology | 1725 Pine St, Montgomery, AL 36106-1109 | 2015-03-30 |
| 1609207141 | Anthony Garcia, M.d., Pa | Anesthesiology | 17884 Mail Route Rd, Montgomery, TX 77316-2745 | 2013-12-10 |
| 1205193067 | Johnathon Quintrell Smith | Anesthesiology | 2105 E South Blvd, Montgomery, AL 36116-2409 | 2012-04-18 |
| 1770896763 | Rhet R Langley | Anesthesiology | 3283 Malcolm Dr, Montgomery, AL 36116-8816 | 2010-07-19 |
| 1417169863 | Timothy John Doles | Anesthesiology | 1725 Pine St, Montgomery, AL 36106-1109 | 2007-05-05 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36117 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.